Inspection on 17/01/06 for Snowdon

This inspection was carried out on 17th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Snowdon 28/03/07

Snowdon 02/06/05

Snowdon 12/10/04

Snowdon 17/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Snowdon Snowdon 14 Claremont Avenue Woking Surrey GU22 7SG Lead Inspector Denise Debieux Unannounced Inspection 09:45 17 January 2006 th Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Snowdon Address Snowdon 14 Claremont Avenue Woking Surrey GU22 7SG 01483 751936 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Together Working for Wellbeing Robert Ross Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 21 65 YEARS 2nd June 2005 Date of last inspection Brief Description of the Service: The home is a detached property situated close to Woking town centre and provides accommodation and facilities for up to eight residents with mental health needs. The accommodation is set out across three floors and there is no mechanical means of access to the upper or lower floors. The facilities in the home comprise of a smokers’ lounge, a separate dining room, kitchen, office and a small non-smoking sitting room. There is good access to local amenities and public transport is available a short distance from the home. The enclosed garden at the rear of the home is a good size and well maintained. There is adequate parking for several cars at the front of the house. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 2.75 hours and was the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. This inspection was carried out by Denise Débieux, Regulation Inspector. Mr Michael Oakeshott (Deputy Manager) was present as the representative for the establishment. A tour of the building took place with three of the eight residents, two visiting, prospective residents and four on-duty staff being spoken with during the tour. The care plans, staff training records, annual quality assurance report, activity schedules and policies and procedures were all sampled. This was a positive inspection and the inspector would like to thank the residents and staff for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? Individual residents’ contracts have been revised and now include room numbers. All cleaning materials are now appropriately stored and cleaning rotas are now planned and discussed at the residents’ meeting each week. The ongoing maintenance and redecoration of the home and gardens provide the residents with homely and comfortable surroundings in which to live. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 The home’s written terms and conditions document has been revised and now contains all required information. EVIDENCE: Each resident has an individual contract. The home has now revised the residents’ terms and conditions document, which now includes the allocated room number, as recommended at the last inspection. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NONE EVIDENCE: Standards 6, 7 and 9 were all assessed and met at the previous inspection and were not addressed on this occasion. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 and 16 Residents are supported and enabled to maintain and develop appropriate personal and family relationships. Systems are in place to ensure that residents’ rights are respected. EVIDENCE: Staff support and encourage residents to maintain family links and friendships both inside and outside the home, this may involve family members or friends being invited to participate in planned activities, meals or supporting the resident to plan visits outside the home. There are no restrictions to visiting and residents can see visitors in the privacy of their own rooms if they wish. The daily routines in each house reflect the requirement to promote independence, individual choice and freedom of movement. Residents were observed to be making their own decisions on what to do and when, with staff support where needed. All interactions observed between the staff and residents were seen to be respectful and caring. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NONE EVIDENCE: Standards 18, 19 and 20 were all assessed and met at the previous inspection and were not addressed on this occasion. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NONE EVIDENCE: Standards 22 and 23 were assessed and met at the previous inspection and were not addressed on this occasion. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well-maintained. The home was found to meet residents’ individual and collective needs in a comfortable and homely way. EVIDENCE: The home was toured and found to be in a good state of repair. Furniture and furnishings were seen to be of good quality and well maintained. Responsibility for the cleaning of the home is shared between the staff and residents in keeping with the independence training ethos of the home. At the time of inspection the home was warm, clean and bright with a homely atmosphere, with the residents showing a clear sense of ownership over their home. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 35 The home has a staff induction and training programme which is designed to ensure that residents are supported by competent and qualified staff. There needs to be a plan of action to increase the percentage of care staff that are qualified to NVQ level 2 in care. EVIDENCE: The home is working towards having 50 of their care workers qualified to National Vocational Qualification (NVQ) level 2 in care. At present one of the six care workers has already achieved the qualification and one is undertaking NVQ level 3 in care. The home needs to devise a plan of how they will meet the 50 target (including relief and agency staff) and a requirement has been made to this effect. The home has a comprehensive induction and ongoing training programme which covers all areas required by the Skills for Care organisation (previously TOPSS). Staff training records were inspected and found to be well maintained with all staff training in mandatory safe working practices up to date. All staff also receive training relevant to the residents accommodated at the home, with training needs being discussed and planned during individual staff supervision. All interactions observed between staff and residents were seen to be respectful and caring and the residents were relaxed and comfortable in the company of the staff they were with. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 The home has a quality assurance and monitoring system in place that is based on seeking the views of the residents. All policies and procedures are in place to ensure, so far as is reasonably practicable, the health safety and welfare of residents and staff. EVIDENCE: Residents meetings are held weekly with the residents being encouraged and supported to raise their own issues and ideas. Key worker meetings are held monthly on a one-to-one basis with each resident. Monthly visits by a representative of the responsible individual take place as required. Each year the home carry out a survey with residents, their relatives /representatives and external health and social care professionals. The results of these surveys are correlated and the home then hold an ‘annual review’ event at the home. At this event senior management from the company attend and the results of the review are shared. Residents and/or their relatives and other interested parties are able to talk privately with members of the management team if they wish to do so. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 16 Following the previous inspection cleaning rotas are now planned and discussed at the resident meeting each week and the cookers routinely cleaned. During the tour of the home all hazardous substances were seen to be stored correctly and all areas of the home were seen to be clean and tidy. Staff were observed to be following appropriate health and safety practices as they went about their work. Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X 3 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Snowdon Score X X X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000013790.V254335.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA32.6 Regulation 18(1)(c) Requirement The registered person to provide CSCI, Eashing office, with an action plan, with timescales, setting out how the home is to achieve 50 of care workers (including relief and agency staff) qualified to NVQ level 2 in care. Timescale for action 14/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Snowdon DS0000013790.V254335.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!